Healthcare Provider Details

I. General information

NPI: 1265358824
Provider Name (Legal Business Name): MICHAEL PERZA PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN STANTON RD
NEWARK DE
19718-2200
US

IV. Provider business mailing address

53 MICHAELANGELO CT
HOCKESSIN DE
19707-2207
US

V. Phone/Fax

Practice location:
  • Phone: 302-242-6592
  • Fax:
Mailing address:
  • Phone: 302-242-6592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberA1-0003565
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: